Immediate Placement of Dental Implants Into Fresh Extraction Socket in the Maxillary Anterior Region: A Case Report
The loss of the buccal alveolar plate following tooth extraction in the maxillary anterior may lead to palatal implant positioning with esthetic complications. Immediate placement of dental implants has been suggested because it may preclude dramatic postextraction bone loss. In this report, the harmony of soft and hard tissue was achieved by immediate implant placement with bone augmentation in an esthetically challenging situation.Abstract
(a) Clinical photograph at the initial visit. The upper central incisor was positioned more labially compared with the left central incisor, and the gingival margin on the right central incisor showed disharmony compared with the left central incisor. (b) Radiograph showing the subgingival fracture in the upper right central incisor. (c) Cross-section of computed tomogram view before operation.
Figure 2. (a) Labial view after implant installation. (b) Occlusal view after extraction of fractured root and expansion of buccal plate, showing gap between the buccal plate and the implant. (c) Labial view at 3 months after implant installation. Figure 3. (a) The final crown was delivered after temporary prosthesis was in function for three months. (b) Clinical photograph showing permanent prosthesis in function for four months. (c) Periapical radiograph taken at the final examination.
Contributor Notes
Department of Pharmaceutical Sciences, College of Pharmacy, University of Michigan, Ann Arbor, Mich.